Kadalikattil Thomas, Mathew

Kadalikattil Thomas, Mathew is an individual health care provider with primary practice located at 1138 Cheraw St , Bennettsville SC 29512-2466. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kadalikattil Thomas, Mathew can be contacted via phone (843) 454-8580.

Contact Information

Primary practice address
1138 Cheraw St Bennettsville SC 29512-2466
Phone: (843) 454-8580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 31752 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 31752 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York

Profile Details

NPI number 1023255858
LBN Legal business name Kadalikattil Thomas, Mathew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2009
Last updated Sep 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023255858 NPPES
Rhode Island MEDICAID 317525

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